Rakesh Taduka
US Healthcare Revenue Cycle Management (RCM) professional
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About
Results-driven and detail-oriented US Healthcare Revenue Cycle Management (RCM) professional with over 3 years of hands-on experience navigating complex enterprise environments, managing critical data lifecycles, and driving systems auditing. Exceptionally positioned for the RCM Systems Administrator role through a proven background in advanced 3rd-party payer portal governance, technical user management architectures, and cross-functional ticket handling. Possesses a strong engineering foundation enabling logical problem solving, process optimization, and structural automation workflows within EMR applications.
Experience
Senior Accounts Receivable Associate / Specialist - GeBBS Healthcare Solutions
(2025-04 - 2026-07)
- Managed end-to-end Accounts Receivable follow-up processes, governing system access security parameters across high-volume healthcare provider accounts.
- Utilized Epic EMR alongside core 3rd-party digital payer portals including Availity, BCBS, UnitedHealthcare, Cigna, Carelon, and Astrana Health to map, analyze, and resolve complex systemic rejections.
- Administered detailed incoming account requests, maintaining precise, auditable case records and logs to guarantee compliance with high-level corporate SLAs.
- Investigated technical processing bottlenecks, mapping root-cause software issues and coordinating directly with cross-functional internal teams to optimize platform turnaround time.
- Ensured all internal operational processes and cross-border workflow details conformed strictly to secure offshore data security policies and HIPAA standards.
Accounts Receivable Associate / Executive - CR Infotech
(2023-04 - 2024-12)
- Executed multi-specialty insurance eligibility verification and system validation parameters across complex clearinghouse systems.
- Coordinated closely with insurance payer representatives and global administrative teams to mitigate front-end transaction bottlenecks and user processing issues.
- Built, monitored, and analyzed extensive daily operational workflow tracking dashboards and system metrics leveraging Microsoft Excel.
- Conducted targeted account logic audits and structured documentation reviews to secure data accuracy throughout the billing cycle.
Education
Bachelor of Technology - B.Tech (2027)
Higher Secondary Certificate - Science - BNN College (2021)
Secondary School Certificate - SSC - Vikas High School (2019)


